252010 12/02/15 d'C4gM
u>' CITY OF CARMEL, INDIANA VENDOR: 355490
b ONE CIVIC SQUARE I U P P S CHECK AMOUNT: $ ...*'573.80'
?� CARMEL, INDIANA 46032 DEPT 78745 CHECK NUMBER: 252010
PO BOX 78000 CHECK DATE: 12/02/15
DETROIT MI 48278-0745
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4341955 55152 573.80 INFO SYS MAINT CONTRA
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Know what'd below.
Call before you dig.
CARMEL CLAY COMMUNICATIONS CENTER Invoice Number: 55152
JANET ARNONE Invoice Date: 11/25/15
31 IST AVE NW Customer No: ID2401
CARMEL,IN 46032
Payment Terms:Net Due in 30 days
MONTHLY
- - — ---- - -- - -- - - - - -- - - (OCTOBER 1 -31, 2015) -
Description Total Tickets Amount
Monthly Per Ticket Fee (@ $0.95/ticket) 604 573.80
I i
Please remit payment to: IUPPS
DEPT 78745 P. O. BOX 78000
DETROIT, MI 48278-0745
Please refer to either your Customer No. or the Invoice No.on your check
Please address questions to: Karen Braun
1-317-893-1405
Invoice Total 573.80
PO Box 219•Greenwood IN 46142-877.230.0495•FAX: 877 230.0496•www.indiana 811.org
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
11/25/15 55152 $573.80
1202 101
it
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IUPPS
DEPT 78745
IN SUM OF $
PO BOX 78000
DETROIT, MI 48278-0745
$573.80
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT
Board Members
55152 43-419.55 $573.80 1 hereby certify that the attached invoice(s), or
1202 I I 101
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
�6o ay, No's ber 30, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund